While performing an assessment, the nurse presses the client's arm with the tip of her thumb, holds for a few seconds, and releases. The nurse observes the client as shown. What is the nurse assessing?

Pitting edema

Capillary refill

Skin temperature

Peripheral pulses

Answer and Explanation

The Correct Answer is A

A. Pitting edema: Pressing on the skin and observing how it rebounds (if it leaves an indentation) is used to assess for pitting edema, which indicates fluid retention in the tissues.

B. Capillary refill: This test involves pressing on the nail beds and observing the time it takes for color to return, not pressing on the arm.

C. Skin temperature: This is assessed by palpating the skin, not by pressing with the thumb.

D. Peripheral pulses: This involves palpating pulse points to assess their presence and strength, not pressing on the arm to check for edema.

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Correct Answer is A

Explanation

A. Stress incontinence: This occurs when urine leaks due to increased abdominal pressure from activities like coughing or laughing, indicating a weakness in the pelvic floor muscles.

B. Obstructive incontinence: This is not a recognized type of urinary incontinence; it may refer to urinary obstruction issues, which are different from stress incontinence.

C. Overflow incontinence: This involves leakage due to an overfilled bladder and is not typically related to activities that increase abdominal pressure.

D. Urge incontinence: This involves a sudden, intense urge to urinate and may lead to involuntary leakage, but it is not specifically linked to coughing or laughing.

A. Use a low sodium seasoning to flavor food. B. Increase consumption of dairy products. C. Choose foods like bananas and sweet potatoes. D. Walk briskly 30 minutes per day. E. Consume two to three glasses of red wine daily.

Correct Answer is ["A","C","D"]

Explanation

A. Using low sodium seasoning can help reduce sodium intake, which is beneficial for hypertension management.

B. Increasing dairy products may not necessarily help with hypertension unless they are low-fat or fat-free options, but it’s not a primary strategy.

C. Foods like bananas and sweet potatoes are high in potassium, which helps counteract sodium's effects and supports healthy blood pressure.

D. Brisk walking for 30 minutes per day is a recommended exercise to help manage and prevent hypertension.

E. Consuming red wine is not recommended for hypertension; excessive alcohol intake can increase blood pressure.

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While performing an assessment, the nurse presses the client's arm with the tip of her thumb, holds for a few seconds, and releases. The nurse observes the client as shown. What is the nurse assessing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?

Correct Answer is A

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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